Managed Care Sales Manager Somerset -YHN

Location
US-PA-Chadds Ford

Posted Date
4 days ago(3/16/2018 9:38 AM)

Job ID

2017-4605

Company

Managed Care Sales Manager Somerset -YHN

Overview

SUMMARY: The Managed Care Sales Manager serves as an effective liaison between William Demant Group companies, network providers, managed care organizations, partners and other referral sources. The Managed Care Sales Manager will exhibit customer service excellence, demonstrate innovation in developing methods to position DGS to positively grow within the hearing healthcare environment and create positive outcomes for its providers, hearing impaired customers and Managed Care partners. He/She will proactively work to build strategic relationships with payers and network providers in areas such as hearing care services and sales within Managed Care programs, HMO’s, PPO’s, TPA’s, Government programs, Unions and other related Managed Care opportunities.

The YHN Managed Care Sales Manager will provide support to DGS and its partners related to network management, reporting, contract management, best practices, and liaison support to ensure the best operational and financial outcomes. He/She will identify needs and growth opportunities within Managed Care organizations and present proposals for solutions to create positive outcomes for the network membership and payers alike.

Responsibilities

Maintain a thorough knowledge of all aspects of network provider’s and payers’ strategies, policies, procedures and quality measures.

Provide extraordinary customer service with members, network and payer relationships and with external contacts by exceeding expectations, providing effective and complete communication and creating positive resolution.

Increase YHN provider member enrollment, network and payer relationships through regular and essential communication. Be proactive in creating opportunities for providers and in generating positive solutions on both provider and payer’s behalf.

Act as liaison, negotiator, and mediator between DGS and Your Hearing Network (YHN) and payer entities to create positive outcomes for both.

Focus on methods to improve finances, data collection and other applicable operations where necessary.